2. Trapped in the ‘Special Hospital’: The Problems Encountered in the Pathway to Medium Secure Units

  1. Phil Willmot1 and
  2. Neil Gordon2
  1. Amanda Tetley and
  2. Gopi Krishnan

Published Online: 14 MAR 2011

DOI: 10.1002/9780470973110.ch2

Working Positively with Personality Disorder in Secure Settings: A Practitioner's Perspective

Working Positively with Personality Disorder in Secure Settings: A Practitioner's Perspective

How to Cite

Tetley, A. and Krishnan, G. (2010) Trapped in the ‘Special Hospital’: The Problems Encountered in the Pathway to Medium Secure Units, in Working Positively with Personality Disorder in Secure Settings: A Practitioner's Perspective (eds P. Willmot and N. Gordon), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470973110.ch2

Editor Information

  1. 1

    Rampton Hospital, UK

  2. 2

    Institute of Mental Health, Nottingham University, UK

Author Information

  1. Rampton Hospital, UK

Publication History

  1. Published Online: 14 MAR 2011
  2. Published Print: 22 OCT 2010

Book Series:

  1. Wiley Series in Personality Disorders

Book Series Editors:

  1. Eddie Kane

Series Editor Information

  1. Personality Disorder Institute, University of Nottinghamm UK

ISBN Information

Print ISBN: 9780470683804

Online ISBN: 9780470973110

SEARCH

Keywords:

  • trapped in ‘Special Hospital’ - problems encountered in pathway to medium secure units;
  • patients detained in high secure hospitals - main route of discharge to community via medium secure services;
  • exploring problems in pathway - high to medium secure services for this group of patients;
  • medium secure provision - ‘step-down’ facility - for patients from high secure services;
  • patients with a diagnosis of personality disorder - encountering difficulties accessing medium secure facilities;
  • Dangerous and Severe Personality Disorder (DSPD) Programme - delivering services for individuals;
  • negotiating transition - high to medium secure services;
  • integration of services - at different levels of security, efficiency of pathways from high to medium secure services;
  • specialist provision for patients - with a diagnosis of personality disorder within forensic services;
  • strategic development of skills - focused, evidenced-based interventions for those working in these settings

Summary

This chapter contains sections titled:

  • Introduction

  • Historical context

  • Securing a placement in medium security for personality disordered patients

  • Securing a placement in medium security for dangerous and severely personality disordered patients

  • Negotiating the transition from high to medium secure services

  • Recommendations for the development of the interface between high to medium secure services

  • References